Health Insurance Coverage Information
As part of national health care reform, almost all Americans are required to have health insurance as of Jan. 1, 2014 or risk a tax penalty. The goal is to make coverage more available and affordable for those who do not have health insurance or have limited coverage.
Individuals and families may either qualify for private insurance coverage available through Covered CA California's health insurance exchanged or for state-sponsored Medicaid coverage. A single streamlined application is used to identify the best coverage based on the individuals and/ or family's income.
Private insurance coverage
The Covered California health insurance marketplace opens November 15, 2016 through February 15, 2017 to enroll those who qualify for premium subsidies and reduced out-of-pocket expenses or those who would like to purchase coverage for 2017. When open enrollment is closed, you can enroll in a Covered California health insurance plan only if you experience a qualifying life event.
Pomona Valley Hospital Medical Center can help you learn more about enrolling in an Affordable Care Act health plan.
If you qualify for MediCal, you may apply at any time throughout the year. An application is available on the Covered California website or by contacting our Eligibility Services department.
Eligibility Services Department
Our Eligibility Services Department staff consists of Financial Counselors and Department of Public Social Services (DPSS) workers. Collaboratively the hospital staff and DPSS workers strive to make the application process timely and seamless. Our Financial Counselors have gone through various training programs which include, Healthcare Association of Southern California, DPSS, and Certified Enrollment Counselor training through Covered California. The DPSS workers are stationed in the department to process your MediCal case and allow staff to track your case from start to finish.
Our Financial Counselors can assist you with obtaining coverage through the California Health Benefit Exchange (Covered CA), Medicare, Medi-Cal, California Children's Services Program, or charity care. We will help you complete the application, schedule appointments for you with a DPSS Worker and follow up with you to return all required documentation. We will assist you in following up with outside Eligibility Workers if you already have a pending case. We will also assist in setting up payment arrangements on cash discounted and or charity discount payments.
Whether you have an account with the hospital or if you just need to apply for coverage, we are here to assist you.
Call our Customer Support Line: 909-469-9441
8 a.m. to 5 p.m. Monday through Friday